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This presentation outlines the Medicare Shared Savings Program (MSSP) developed by the Centers for Medicare & Medicaid Services (CMS), highlighting its vision and goals, major changes from the final rule, and next steps for Accountable Care Organizations (ACOs). It emphasizes seamless, coordinated care centered around beneficiaries and their families, careful resource management, and data-driven improvements in patient outcomes. Key topics include operational principles for MSSP tracks, the importance of data partnerships, quality monitoring, and engagement strategies for beneficiaries.
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The Medicare Shared Savings Program November 2011 Terri L Postma, MD Medical Officer/Senior Advisor Center for Medicare and Medicaid Services
Overview • CMS vision and goals • Major changes in final rule • Next steps
ACO Vision • An ACO promotes seamless coordinated care • Puts the beneficiary and family at the center • Remembers patients over time and place • Attends carefully to care transitions • Manages resources carefully and respectfully • Proactively manages the beneficiary’s care • Evaluates data to improve care and patient outcomes • Innovates around better health, better care and lower growth in costs through improvement • Invests in team-based care and workforce
CMS’s ACO Strategy: Creating Multiple Pathways with Constant Learning and Improving MSSP: Track 1 & Track 2 Pioneers AdvancePayment
Operating Principles • Creating multiple pathways and on-ramps for organizations to participate • Strong data partnership • Beneficiary notification and engagement • Maintain strong partnership with federal anti-trust agencies • Robust quality measurement and performance monitoring • Stronger business case to participate • Excitement and momentum
Questions? For more information: www.cms.gov/sharedsavingsprogram/ aco@cms.hhs.gov 410-786-8084
